<html xmlns:th="http://www.w3.org/1999/xhtml">
<style>
	.cus-layui-form-label{
		text-align:left;
		display: block;
		padding: 9px 15px;
		font-weight: 400;
		/*background-color: #d2d2d2;*/
	}

	.cus-layui-div img {
		margin-left: auto;
		margin-right:auto;
		display:block;
	}
</style>
<div style="margin: 15px;">
	<form class="layui-form" action="">
		<div class="row">
			<div class="col-sm-4">
				<label class="cus-layui-form-label">姓名</label>
			</div>
			<div class="col-sm-8">
				<input type="text" name="name" id="name" lay-verify="required" placeholder="请输入姓名"  class="layui-input">
				<input type="hidden" id="id" name="id"/>
				<input type="hidden" id="status" name="status" value="0"/>
			</div>
		</div>

		<div class="row">
			<div class="col-sm-4">
				<label class="cus-layui-form-label">email</label>
			</div>
			<div class="col-sm-8" >
				<input type="text" name="email" id="email" lay-verify="required" placeholder="请输入email"  class="layui-input">

			</div>
		</div>

		<div class="row">
			<div class="col-sm-4">
				<label class="cus-layui-form-label">手机号</label>
			</div>
			<div class="col-sm-8" >
				<input type="text" name="phone"  lay-verify="required" placeholder="请输入手机号"  class="layui-input">
			</div>
		</div>
		<div class="row">
			<div class="col-sm-4">
				<label class="cus-layui-form-label">航空公司ID</label>
			</div>
			<div class="col-sm-8" >
				<input type="text" name="airline"  lay-verify="required" placeholder="请输入航空公司"  class="layui-input">
			</div>
		</div>
		<div class="row">
			<div class="col-sm-4">
				<label class="cus-layui-form-label">航班号</label>
			</div>
			<div class="col-sm-8" >
				<input type="text" name="flightNumber"  lay-verify="required" placeholder="请输入航班号"  class="layui-input">
			</div>
		</div>
		<div class="row">
			<div class="col-sm-4">
				<label class="cus-layui-form-label">目的地</label>
			</div>
			<div class="col-sm-8" >
				<input type="text" name="destinationCity"  lay-verify="required" placeholder="请输入目的地"  class="layui-input">
			</div>
		</div>
		<div class="row">
			<div class="col-sm-4">
				<label class="cus-layui-form-label">出发时间</label>
			</div>
			<div class="col-sm-8" >
				<input type="text" name="departTime" readonly="true" id="departTime"  lay-verify="required" placeholder="选择开始时间"  class="layui-input">
			</div>
		</div>

		<button lay-filter="edit" lay-submit style="display: none;"></button>
	</form>
</div>
</html>
